| NPI | 1245797430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA CO128955) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: NV C-47469) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2021-05-24 |